MEDICARE: DR. JAMES A YELTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME063876	FL

General Provider Information

NPI Number	:	1336568039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A YELTON M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 142366
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32614
Country	:	US
Telephone Number	:	352-222-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 SW 2ND AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-6116
Country	:	US
Telephone Number	:	352-222-3909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	04/09/2014

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